Organization Active NPI

Orange County Psychologists, Inc.

  • Clinical Psychologist
  • Newport Beach, CA
National Provider Identifier
1033620331
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ORANGE COUNTY PSYCHOLOGISTS, INC.
Practice address
1001 Dove St Ste 140
Newport Beach, CA 92660-2846
Phone
(949) 735-7086
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alan D Liberman, PH.D.NPI 1093894453
Title
Ceo
Phone
(714) 730-2080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X CA Primary

Addresses

Primary practice location

1001 Dove St Ste 140
Newport Beach, CA 92660-2846

Mailing address

1001 Dove St Ste 140
Newport Beach, CA 92660-2846
Phone (949) 735-7086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220629001596 CA Part B Supplier - Clinic/Group Practice 6002296647 Receives reassigned benefits from 1 practitioner
Practice locations: Tustin, CA

National Provider Directory

National Provider Directory

Locations

1001 Dove St
Ste 140
Newport Beach, CA 92660
Phone (949) 300-4727

242 W Main St
Ste 200D
Tustin, CA 92780
Phone (714) 730-2080

242 W Main St
Tustin, CA 92780
Phone (714) 612-0241

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033620331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602846",
            "telephone_number": "949-735-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 DOVE ST STE 140",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602846",
            "telephone_number": "949-735-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY PSYCHOLOGISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LIBERMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-730-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.